Organization
WOMEN'S HEALTHSOURCE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SMITH NP (OWNER)
(318) 325-1731
Entity
Organization
Contact information
Practice address
410 WOOD ST, MONROE, LA 71201-7445
(318) 325-1731
(318) 325-5636
Mailing address
410 WOOD ST, MONROE, LA 71201-7445
(318) 325-1731
(318) 325-5636
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD012257
LA
Other
Enumeration date
07/14/2008
Last updated
05/07/2009
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